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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 247206554
Report Date: 07/22/2022
Date Signed: 07/22/2022 11:48:15 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/18/2022 and conducted by Evaluator Lady Cabrera
COMPLAINT CONTROL NUMBER: 24-AS-20220718165705
FACILITY NAME:KAZLIN INFINITE CARE LLCFACILITY NUMBER:
247206554
ADMINISTRATOR:ERLINDA MAGLIBAFACILITY TYPE:
740
ADDRESS:3554 EL REDONDO DRIVETELEPHONE:
(209) 349-8457
CITY:MERCEDSTATE: CAZIP CODE:
95348
CAPACITY:6CENSUS: 6DATE:
07/22/2022
UNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Erlina Magliba, AdministratorTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Residents are unable to make/receive calls due to facility phone line not working
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) L. Cabrera conducted the complaint investigation visit to the facility. During this visit LPA delivered investigation findings regarding the above allegation. Due to precautionary measures and Covid-19 positives in the facility. LPA did not enter the facility.

The Department has investigated the complaint alleging: Residents are unable to make/receive calls due to facility phone line not working. Per interviews, the facility phone line was not working on 7/16/2022. Administrator contacted Xfinity regarding the phone line and television not working. Per records on 7/18/2022, Xfinity phone service provider repaired the phone. On 7/19/2022 and 07/22/2022, LPA called the facility phone line and it was working.

This agency has investigated the complaint alleging (Residents are unable to make/receive calls due to facility phone line not working). We have found that the complaint was unfounded, therefore we have dismissed the complaint.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Lady CabreraTELEPHONE: (559) 513-9832
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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